On patient surgical procedural instrument tray

ABSTRACT

An instrument tray is configured for use with surgical and/or other invasive or non-invasive medical procedures, such as in operating rooms or ICU rooms within a hospital, for example. The tray facilitates a safe transfer of instruments between a procedural team and performing the procedure. In an embodiment the surgical tray may be attached directly to the patient and/or patient&#39;s drapes so that the tray may rest upon the patient.

REFERENCE TO PRIORITY DOCUMENT

This application is a continuation application of U.S. application Ser.No. 13/076,303, which claims priority to U.S. Provisional PatentApplication Ser. No. 61/319,723 filed on Mar. 31, 2010, the contents ofeach hereby incorporated by reference in their entirety.

BACKGROUND

The present disclosure relates to surgical and procedural devices. Moreparticularly the present disclosure relates to surgical and otherinvasive medical procedures in operating rooms or Intensive Care Unitsor Procedural rooms within the hospital today where the safe transfer ofinstruments between the procedural team and Physician or Surgeon isnecessary.

Conventional surgical instrument trays are used to rest and or passinstruments during a surgery or other medical procedure. However, thesetrays are free standing and are typically located close to bedside oroperating table side. This means the instruments and surgical tools arelocated to the side of the physician. In order for the physician toaccess the instrument, he or she must turn away from the patient. Somefree standing carts have extending arms that permit the physician tomove the tray's surface closer. However, these carts undesirably consumefoot space, as well as table or bedside space. Additionally these freestanding trays are cumbersome to move.

In order to get around the deficiencies associated with trays, patientdrapes have been developed with impregnated magnets to hold theinstruments and tools for ready access. Unfortunately, these drapes donot provide a support plane or other surface for the instruments to restupon. Additionally, because instruments and tools often include multipleconfigurations (including different weights and metal compositions) themagnetic force is often insufficient to hold the weight of theinstrument. This results in the instrument accidentally falling orotherwise detaching from the drape.

In many cases, during procedures or in the operating room it isnecessary to adjust the patient's position. As an example, in the caseof a thoracotomy procedure the patient may be positioned in various sidepositions and as the surgeon requests that the patient be moved orrepositioned, all the trays must be moved and replaced before thesurgery or procedure can continue. Today, patients in preparation fortheir surgery or procedure are draped in paper or plastic sheets tocreate a barrier of protection and isolate the area of the operation orprocedure from the remaining patient's anatomy. This can be cumbersome.

SUMMARY

In view of the foregoing, there is a need for improved systems foraccessing and handling medical instruments, such as surgicalinstruments.

In one aspect, there is disclosed a surgical tray, comprising: a planarmember having an upper surface and a lower surface, wherein the uppersurface is configured to support at least one medical instrument; afirst drape member extending outwardly from a first side of the planarmember; and a second drape member extending outwardly from a second sideof the planar member; wherein the surgical tray is configured to bepositioned at least partially on a patient.

Other features and advantages should be apparent from the followingdescription of various embodiments, which illustrate, by way of example,the principles of the invention.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows a top view of a first embodiment of a surgical tray.

FIG. 2 shows a top view of another surgical tray.

FIG. 3 shows a bottom view of the surgical tray of FIG. 2 .

FIG. 4 shows a bottom view of yet another embodiment of a surgical tray.

DETAILED DESCRIPTION

Before the present subject matter is further described, it is to beunderstood that this subject matter described herein is not limited tothe particular embodiments described, as such may of course vary. It isalso to be understood that the language used herein is for the purposeof describing particular embodiments only, and is not intended to belimiting. Unless defined otherwise, all technical terms used herein havethe same meaning as commonly understood by one skilled in the art towhich this subject matter belongs.

As will be apparent to those of skill in the art upon reading thisdisclosure, each of the individual embodiments described and illustratedherein has discrete components and features which may be readilyseparated from or combined with the features of any of the other severalembodiments without departing from the scope of the subject describedherein. Any recited method can be carried out in the order of eventsrecited or in any other order which is logically possible.

Disclosed is an instrument tray (sometimes referred to as an on-patienttray) that is configured for use with surgical and/or other invasive ornon-invasive medical procedures, such as in operating rooms or ICU roomswithin a hospital, for example. The tray facilitates a safe transfer ofinstruments between a procedural team and performing the procedure. Inan embodiment a surgical tray is attached directly to the patient and/orpatient's drapes so that the tray may rest upon the patient.

With reference to FIG. 1 , a tray 105 includes a generally flat surface110 that is configured to serve as a support surface for one or moreinstruments. The surface 110 can be flat or contoured and/or it mayinclude any of a number of features, such as protrusions, slots, seats,etc. for interfacing with the instrument(s). The illustrated embodimentof the tray 105 includes a sloped periphery 130 that serves as a parapetor wall for assisting in retaining the instruments on the surface 110.The sloped periphery 130 may also be a wall or protrusion or any type offeature that is configured to retain the instruments on the surface 110.The surface 110 may be smooth or textured so as to allow the instrumentsto be picked up easier and prevent instruments from sliding off thetray.

In the illustrated embodiment, the tray 105 is generally rectangularalthough it should be appreciated that the tray could have any of avariety of shapes and sizes.

The tray 105 is generally configured to be positioned on or in thevicinity of a patient. In an embodiment, the tray 105 is configured tobe positioned on top of or partially on top of a patient, such as on thetorso of the patient. In this regard, the tray 105 is sufficiently lightso as to not provide discomfort to the patient. Moreover, a bottomsurface of the tray may be contoured to provide comfort to the patientwhen positioned atop the patient.

With reference still to FIG. 1 , a drape 115 is coupled to the tray 105.The drape 105 can be formed of any suitable piece of fabric, paper,textile, plastic, rubber, or any other suitable material, or combinationthereof.

In an embodiment, the tray 105 has one or more slots 120 that areconfigured to receive the drape 105 therethrough such that the drape 105removably or fixedly attaches to the tray 105. The slots 120 serve asmeans for securing the drape 115 to the tray 105. In this regard, thedrape 115 can be positioned through the slot(s) 120 such that the slotsretain the drape 115 to the tray 105. The slots 120 are sized such thatthe drape 115 can slide through the slots 120. In this manner, the drape115 serves as a contiguous single sheet which forms the tray drapes andthe tray base surface, which ends are attached to the patient's surgicaldrapes using surgical clamps or surgical clips or any other means,including adhesive. The drape 115 can be positioned on top of or beneaththe surface 110. In the embodiment shown in FIG. 1 , the slots areformed in the outer wall of the sloped periphery 130 of the tray 105.This positions the slots above the top surface 110 of the tray 105.Thus, when the drape is positioned through the slots, the drape ispositioned adjacent the top surface 110 of the tray 105.

In another embodiment, shown in FIG. 3 , the slots are formed by one ormore protrusions on the lower surface of the tray 105. The protrusionscontain the slots and are sized to receive the drape therethrough. Thus,when the drape is positioned through the slots, the drape is positionedadjacent the bottom surface of the tray 105.

FIG. 4 shows another embodiment of the tray 105 wherein the drape 115 isformed of two portions including a first portion 115 a attached to oneside of the tray 105 and a second portion 115 b attached to the oppositeside of the tray. Any attachment means, including adhesive, screws,rivets, bolts, etc., may be used to attach the first and second portionsto the tray.

In an embodiment the on-patient surgical tray rests on the patient andincludes the tray and a drape system, which may be placed on top of thepatient and the patient's surgical drapes. Surgical clamps, clips orother attachment mechanisms may be used to couple the tray to thepatient. In an embodiment the on-patient surgical tray rests on thepatient and on the patient's surgical drapes.

In an embodiment, the surface of the tray 105 has seat, a cup, etc., orsmaller basin molded into the tray to allow for resting of surgical orprocedural instruments, such as, for example, an electrocautery pencilor a suction wand. The cup or basin can have several designed edges andsize varying slits or curved edges to capture and secure theinstruments. The cup or basin can also have loops or rings or holesmolded into the side of the cup to secure instruments.

The tray 105 can include any of a variety of mechanisms or means forattaching items to the tray. For example, the tray 105 may includeloops, rings, slits, clips, holes, or any other structure. The structuremay be attached to or molded into the sides of the tray to secureinstruments and allow them to dangle from the tray.

The tray may be manufactured of any of a variety of materials, includingmetal, plastic, wood, etc.

The tray 105 may vary in size and shape. In an exemplary embodiment theon-patient surgical tray is a plastic tray, measuring 8.5 inches longand 11 inches wide, with 30 degree from base angled elevated texturedwalls although these dimensions are for example only. The tray includesa pair of openings along the base to allow the tray's single elongatedtray drape to pass through the two sides slit openings of the tray andserve as a contiguous single sheet forming the tray drapes and the traybase surface. The tray drapes may be attached to the patient's surgicalor procedural drapes by either an external set of clamps or clips or aset of clamps or clips integrated into the ends of the drapes or anyother means including adhesive. As the patient's position is changed thetray, because the tray drape is inserted through the two openings alongthe base, easily slides along the single drape-base to remain level andprovide a safe plane and zone to pass or rest instruments without havingto reattach or resecure the tray drapes to the patient's surgicalprocedural drapes.

The on-patient surgical tray 105 may be positioned to rest on thepatient and their surgical drapes and consists of a varying sized squareor rectangular tray made of made of plastic, rubber, or metal orcombination thereof and tray drapes either attached to the outer sidesof the tray or a single varying sized drape inserted and passed throughthe optional two side openings of the tray to serve as a contiguoussingle sheet to form the tray drapes and the tray base surface and ismade of either paper, textile, plastic, or rubber or combinationthereof, and the tray drape is attached to the patient's surgical orprocedural drapes by either an external set of clamps or clips or a setof clamps or clips integrated into the ends of the surgical tray drapes.In an embodiment the on-patient surgical tray drapes are attached to theside of the surgical tray and the drapes have attached or molded to themat various locations loops, rings, slits or clips made of plastic,rubber or metal or textile or tape or combination thereof for thepurpose of securing, holding and dangling surgical instruments

The novel on-patient surgical procedural instrument tray is uniquelyattached to the patient or their surgical or procedural drapes allowingthe physician or surgeon to maintain a better view of patient whilereceiving and passing procedural or surgical instruments, eliminates therequirement for foot space found in the current state of the artsurgical or bedside or table side stand-alone trays, and is easilymanipulated to maintain the procedural or surgical plane base surfacewhen moving the patient's position is required.

While this specification contains many specifics, these should not beconstrued as limitations on the scope of an invention that is claimed orof what may be claimed, but rather as descriptions of features specificto particular embodiments. Certain features that are described in thisspecification in the context of separate embodiments can also beimplemented in combination in a single embodiment. Conversely, variousfeatures that are described in the context of a single embodiment canalso be implemented in multiple embodiments separately or in anysuitable sub-combination. Moreover, although features may be describedabove as acting in certain combinations and even initially claimed assuch, one or more features from a claimed combination can in some casesbe excised from the combination, and the claimed combination may bedirected to a sub-combination or a variation of a sub-combination.Similarly, while operations are depicted in the drawings in a particularorder, this should not be understood as requiring that such operationsbe performed in the particular order shown or in sequential order, orthat all illustrated operations be performed, to achieve desirableresults

Although embodiments of various methods and devices are described hereinin detail with reference to certain versions, it should be appreciatedthat other versions, embodiments, methods of use, and combinationsthereof are also possible. Therefore the spirit and scope of theappended claims should not be limited to the description of theembodiments contained herein.

1. An on-patient surgical instrument tray to support one or moreinstruments, the on-patient surgical instrument tray comprising: a topsurface and configured to be placed directly on at least a portion of apatient; a periphery surface that is oriented upward from the topsurface and defines a parapet or wall surrounding at least a portion ofthe top surface; one or more slot formed in the surgical instrument trayadapted to accommodate a surgical drape; a surgical drape slideablypositioned through the one or more slot, wherein the one or more slotis/are adapted to permit the surgical drape to slide through the one ormore slot while the surgical instrument tray is placed directly on atleast a portion of the patient; an attachment mechanism adapted toretain, hold, support or dangle one or more type of medical instrument,wherein the attachment mechanism is formed on or attached to the topsurface, the periphery surface, or the one or more slots.
 2. Theon-patient surgical instrument tray of claim 1, wherein the surgicaldrape comprises a fabric.
 3. The on-patient surgical instrument tray ofclaim 1, further comprising one or more clamp or clip to attach thesurgical instrument tray to one or more additional surgical drapespositioned on the patient.
 4. The on-patient surgical instrument tray ofclaim 3, further comprising an attachment mechanism configured to attachthe surgical instrument tray to the patient.
 5. The on-patient surgicalinstrument tray of claim 1, wherein the one or more slot comprises awidth approximately equal to the width of the surgical drape.
 6. Theon-patient surgical instrument tray of claim 1, wherein the one or moreslot comprises a width approximately equal to a width of the topsurface.
 7. The on-patient surgical instrument tray of claim 1, whereinthe attachment mechanism comprises one or more loop, ring, slit, clip,hole, and/or equivalent structure.
 8. The on-patient surgical instrumenttray of claim 7, wherein the attachment mechanism is attached to ormolded periphery surface to retain, hold, support or dangle the one ormore medical instrument.
 9. An on-patient surgical instrument tray tosupport one or more instruments, the on-patient surgical instrument traycomprising: a tray defined by a top surface and a periphery surface andconfigured to be placed directly on at least a portion of a patient,wherein the periphery surface is oriented upward from the top surfaceand defines a parapet or wall surrounding at least a portion of the topsurface; one or more drape including at least a first portion positionedadjacent to the tray and attached to the tray; an attachment mechanismadapted to retain, hold or support one or more type of medicalinstrument, wherein the attachment mechanism is formed on or attached tothe tray or the one or more drape.
 10. The on-patient surgicalinstrument tray of claim 9, wherein the one or more drape comprises atleast two portions, wherein a first of the at least two portions isattached to one side of the tray and a second of the at least twoportions is attached to a side of the tray opposite the one side of thetray.
 11. The on-patient surgical instrument tray of claim 9, whereinthe attached to the first portion is attached to the tray using anattachment means comprising one or more adhesive, screw, rivet, bolt, orequivalent.
 12. The on-patient surgical instrument tray of claim 9,further comprising one or more clamp or clip to attach the surgicalinstrument tray to a surgical drape positioned on the patient.
 13. Theon-patient surgical instrument tray of claim 9, further comprising apatient attachment mechanism configured to attach the surgicalinstrument tray to the patient.
 14. The on-patient surgical instrumenttray of claim 9, wherein the attachment mechanism comprises one or moreloop, ring, slit, clip, hole, and/or equivalent structure.
 15. Theon-patient surgical instrument tray of claim 14, wherein the attachmentmechanism is attached to or molded periphery surface to retain, hold,support or dangle the one or more medical instrument.